KETTMAN PRANGER FAMILY MEDICINE, PLLC
NPI 1902124175
Family Medicine in Waterloo, IA

NPI Status: Active since May 12, 2010

Contact Information

220 SOUTHBROOKE DR
WATERLOO, IA
ZIP 50702
Phone: (319) 236-7720
Fax: (319) 236-7739

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  • Organization
  • Family Medicine

About KETTMAN PRANGER FAMILY MEDICINE, PLLC

This page provides the complete NPI Profile along with additional information for Kettman Pranger Family Medicine, Pllc, a primary care provider established in Waterloo, Iowa operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1902124175 assigned on May 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 33683 (IA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Matthew J Kettman M.d. (Owner)

NPI
1902124175
Provider Name
KETTMAN PRANGER FAMILY MEDICINE, PLLC
Entity Type
Organization
Location Address
220 SOUTHBROOKE DR WATERLOO, IA 50702
Location Phone
(319) 236-7720
Location Fax
(319) 236-7739
Mailing Address
PO BOX 658 WATERLOO, IA 50704
Mailing Phone
(319) 236-7720
Mailing Fax
(319) 236-7739
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2010
Last Update Date
08-13-2012
Code Navigator

A primary care provider (PCP) like Kettman Pranger Family Medicine, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
33683
License State
IA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW J KETTMAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(319) 236-7720

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
IB1838MEDICARE PIN (08)IA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902124175, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 2 + 2 + 8 + 1 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1902124175.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Clinic/Center (Family Planning, Non-Surgical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Social Worker (Clinical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902124175, enumerated as an "organization" on May 12, 2010.

The provider is located at 220 SOUTHBROOKE DR WATERLOO, IA 50702 and the phone number is (319) 236-7720.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.